CPT 72295 Radiology
X-ray of lower spine disk Cost
Body System: Musculoskeletal
Medicare Facility Rate
$122
CMS PFS CY2026
Medicare Non-Facility Rate
$122
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.81
Work RVU
2.80
Facility PE RVU
0.05
Malpractice RVU
3.66
Total RVU
Frequently Asked Questions
How much does X-ray of lower spine disk cost?
The Medicare facility rate is $122. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1.
How much does X-ray of lower spine disk cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $122.